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NIS Child Influenza Module (NISCIM) Hard Copy Questionnaire Q1/2024Confidential Information Information contained on this form which would permit identification of any individual or establishment
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How to fill out nis child influenza module

01
Gather necessary information about the child, including name, date of birth, and health insurance details.
02
Obtain the influenza vaccination history for the child, including previous doses and dates.
03
Fill out the child's personal information on the designated form for the NIS child influenza module.
04
Enter the specific details regarding the administered influenza vaccinations.
05
Ensure to complete any consent information required by the health authority.
06
Review the filled form for accuracy and completeness.
07
Submit the completed form to the appropriate health department or agency as instructed.

Who needs nis child influenza module?

01
The NIS child influenza module is needed by healthcare providers, public health officials, and researchers involved in tracking vaccination rates and monitoring influenza vaccine effectiveness in children.
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The NIS Child Influenza Module is a component of the National Immunization Survey that specifically collects data about influenza vaccination coverage among children.
Health care providers and organizations that administer vaccinations to children are typically required to file the NIS Child Influenza Module, as they provide the data necessary for evaluating vaccination rates.
To fill out the NIS Child Influenza Module, providers need to collect relevant vaccination data for children from their records and report it following the guidelines provided by the NIS framework, ensuring accuracy and completeness.
The purpose of the NIS Child Influenza Module is to monitor influenza vaccination rates among children, assess the effectiveness of vaccination campaigns, and inform public health strategies to improve childhood immunization.
The information that must be reported includes the number of children vaccinated against influenza, the dates of vaccination, the types of vaccines used, and demographic information about the children surveyed.
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